STATE COUNCIL OF EDUCATION  RESEARCH & TRAINING
VARUN MARG, DEFENCE COLONY, NEW DELHI-110024
(An Autonomous Organization of Govt. of NCT of DElhi) 
APPLICATION FORMAT FOR ENGAGEMENT OF CONTRACT LECTURER 2013-14

Note 1:Use Microsoft Internet Explorer version 5.0 or above.
Note 2:Candidate should fill same name,father name and DOB as mentioned on Matric/Secondary Certificate.

1. Select Post
2. First Name
3. Middle Name
4. Last Name
5. Father's Name
6.Communication Address Pin Code :
7.Contact No. landline:(STD Code) -  Mobile : (10 Digits)
8. State
9. Gender
10.Category Physically Handicapped
11. Date of Birth
(format dd/mm/yyyy)
12. Age as on
    (01.09.2013		 Years Months Days
13. Educational and Professional Qualification:(Starting from Xth Board)
Name of Exam Passed Name of Board/
University		 Month and Year of Passing (Year format yyyy)

% of Marks Obtained 

(format 00.00)

i. Secondary/Matric 10th
ii. Senior Secondary/Intermediate 12th
iii. Graduation
iv. Graduation Professional
v. Post Graduation
vi. Professional Post Graduation
14.Desirable Qualification:(M.Phil/PH.D)
Examination Passed Name of Board/
University

Month and Year of Award

(Year format yyyy)

 Thesis Title
M.Phil
Ph.D

15. Teaching Experience starting from the most recent(Only Experience in recognised School/Univer .):-

Sno. Institutional Category Name of School / University/Organisation Post Held Service From(format dd/mm/yyyy) Service To(format dd/mm/yyyy) Total Exper. (In format of   Years.Month)
i. 
ii.
iii.
iv.
v.
vi.
16. Publication/Research Paper(Enter Maximum of any three Publication to be marked for evaluation)
Sno. Title of Publication / Research Paper Name of  Book/Journal/Conference proceeding etc. Name of Publishing agency Month & Year of Publication (Year format yyyy) Page No. (From-To) Author Type
i
ii
iii
Undertaking: That the above said information is true and correct and nothing material has been concealed there from. SCERT is free to act upon if any information is found false in future and my contractual engagement can be terminated. That I will not file any suit/writ for regularization/salary etc. in court if engaged by the department on contract basis.